( )WITH YOUR BODY for your smile(After getting your wisdom teeth removed, patients should keep the operated area clean as well as continue with their oral hygiene routine. If food residue is not removed, a secondary infection may occur.eat foods that were harder, dryer and con- Once this is clarified, the surgeon cantained more fiber. Nowadays, however, identify how complex the procedure isfoods that are soft in texture that do not and can recommend whether it is viablerequire much chewing are predominating to perform a dental extraction on all fourour diets. Other studies have shown that wisdom teeth in one appointment, or ifwhile they may not have disappeared, they two or more appointments are needed.are reducing in size as they are no longer Ideally, this process can be done with oneas important for chewing. Extracting surgery to facilitate an easier recovery forthem is the most efficient way to prevent the patient.other teeth from being affected by theconsequences of a crowded dental arch. ARE THERE COMPLICATIONS? Sometimes. They can include: fractures in As Dr. Borrero explains, by taking a the root of the molar (which can be cau-panoramic x-ray early on, you can detect sed by instruments), lacerations to the softwhether wisdom teeth will cause damage tissues caused by the drill, accidental cuts,or not. “They tend to come in at an reactions to anesthesia such as low bloodangle, which is why they cause dis- pressure or feeling faint, and hemorrha-comfort when they erupt, as they do not ging. It is therefore important that thishave a place to come out of, causing procedure be performed by a professionalpressure and pain in the region around that is qualified and experienced in per-the last molar. In some situations, as they forming and managing these cases; thiserupt, this can increase the risk of infec-tion related to poor oral hygiene.” •lowers the risk of complications, andWHY DO THEY HURT SO MUCH? negative or undesired side effectsThey do not always hurt, but this is theidea that most patients have. Sometimes, THEY CANwisdom teeth erupt and remain without STAY TOOcausing symptoms throughout a person’sentire life. In other cases, however, they Wisdom teeth do not always cause damage. Some patients havecan become impacted in the bone and, if enough space in their jawbone, allowing them to erupt properly andthey are not removed, they can cause a remain without functional, chewing or hygiene problems. When peoplereaction in the foreign body. In such are able to keep their teeth, their upper wisdom teeth are in adequatecases, this can cause certain complications contact with the teeth that are both adjacent and in the opposingthat must be treated by a specialist. jawbone, allowing them to be functional, stable and able to fit well with the oral and stomatognathic system. X-rays are key to deciding what treat-ment should be used and how complexthe extraction will be, as they help deter-mine the characteristics, size, position anddevelopment of wisdom teeth, as well astheir proximity to anatomical structures. 51
THE TRAVELER’S BeforeROADMAP 1 TAKE PRECAUTIONSTO HEALTH Find out what the vaccina-In addition to packing a suitcase tions schedule is of the coun-and setting an itinerary, those who try you will travel to. Intravel should keep some of the Colombia, some regionsfollowing tips in mind for before, require specific doses. Thisduring and after their trip. information is available at migration offices, travel agen- cies and airports. During GET OUT OF 5 4KEEP YOUR YOUR SEAT STOMACH IN CHECK Venous thrombosis can occur when people take long trips and do not get Commonly known as the “stomach flu,” up from their chairs, causing the travelers may get gastroenteritis, which blood to become stagnant in the is inflammation in the intestine caused lower limbs of the body. If not treated by bacteria, viruses, parasites, yeast or in time, this can develop into a blood any other infectious disease. Symptoms clot that can be painful, become infec- include abdominal pain, headaches, ted or inflamed (thrombophlebitis), vomiting, fever and the chills. Many and cause serious diseases. people recover without treatment. ADVISOR 6 6MENTAL HEALTH MAURICIO ANDRÉS QUINTERO BETANCUR Having anxiety about a flight or aInternal Medicine Physician, fear of heights can trigger panic attacks. If this happens, give the Universidad CES person a plastic bag to breathe into, which can help reduce the intensity of the episode. Also, take precautionary measures before traveling.
( )WITH YOUR BODY Infographic 3 2 BE PREPARED 15 MONTHS PRIOR TO There are ways to plan for jet lag. DAYS, ON AVERAGE, IS TRAVEL IS WHEN Depending on your time zone, you HOW LONG IT TAKES A can go to sleep and wake up ear- PERSON TO GET USED TO VACCINES SHOULD BE lier before your trip. Taking mela- A CHANGE IN TIME. THEADMINISTERED IN ORDER tonin can help, which is recom- ADJUSTMENT IS ABOUTFOR YOUR IMMUNITY TO mended to help you adapt more easily to time changes. 1 HOUR A DAY. BE DEVELOPED. BUILD UP YOUR 3 1 IMMUNE SYSTEM WEEK BEFORE YOU While eating foods that are DON’T TRAVEL, BE SURE TO high in vitamin C may not FORGET A INCLUDE MORE FRUITS prevent transmission (such as FIRST AID KIT! AND VEGETABLES IN citrus fruits and guava), they can help reduce the number Make sure it has painkillers, YOUR DIET. of days of a cold. Avoid anti-inflammatories, band aids, eating street food and go to skin lotion to treat sunburns, After places that follow health bug repellent, oral saline solu- code regulations. tion and nasal decongestants.7 PAY ATTENTION (Sometimes, gastroenteritis If you feel tired and have symp- causes Traveler’s diarrhea. Know toms of a virus that do not what the symptoms are in order to improve three days after retur- find the right treatment. With this ning home, see a doctor in order illness, hydration, is key. to rule out any other health con- dition. Be sure to know the diffe- rence between a common cold and the flu.
WITH YOUR BODY( )prevention LISTENING TO Your body knows best. When it sends out a sign of unusual pain OUR BODIES or discomfort, it may be indica- ting that a part of it is not working well. Depending on the case, the symptoms of Listening to these signs can help youdifferent diseases may actually be similar. It recognize health problems that shouldis therefore always best to see your doctor be addressed so that they do not lead to more serious diseases or so they may be to find the right diagnosis. detected on time. ADVISOR First, you must get to know yourself. JULIÁN HURTADO MONDRAGÓN “Not all bodies work the same. Everybody must get to know their own body to iden- General Physician, practitioner at tify symptoms that may indicate Coomeva Medicina Prepagada something is wrong,” recommends Dr. Julián Hurtado Mondragón. In addition to feeling that something has changed in your body, some symptoms – such as weight loss, fatigue, blood in the stool, a persistent cough, recurrent pain in a specific area in the body, among others –may be a sign that a condition is affecting your quality of life.54
( )WITH YOUR BODYA PROPER ANALYSISAccording to Dr. Hurtado, with diseasessuch as diabetes mellitus, there are threesigns that may indicate you have the disea-se, “These are known as the 3 P’s: polyu-ria, which is the constant need to urinate;polydipsia, which manifests as excessivethirst; and polyphagia, which is a constantdesire to eat. Just because someone hasthese symptoms, however, does not meanthey suffer from this condition.” Diabetesmellitus occurs when there is a high con-centration of glucose in the blood that,over time, can turn into conditions asserious as the vision loss, and heart orkidney disease, among others. These symptoms alone, or any othersymptoms, should not be considered defi-nitive diseases before being seen by a doc-tor, as healthcare specialists have the abilityto examine the patient, review their medi-cal history and order diagnostic tests thatcan help determine if such symptoms are 55
WITH YOUR BODY( )preventionconcerning or not. With all the diffe- simply do not like going. “We must WHEN IT’S TIME TOrent potential conditions there may be, create a culture among patients SEE A DOCTORhowever, it is entirely possible for simi- where their healthcare focuses onlar symptoms to be a coincidence. prevention as well as healing, as the While there are some patients that are majority of people only see their doc- apathetic about doctor visits, there are “It’s irresponsible to say some tors when they have some type of also those at the other extreme: thosesymptoms only belong to a specific symptom,” states Dr. Hurtado. who see their healthcare provider cons-disease and have nothing to do with tantly, even though they have alreadyother ones. It is very risky to generali- The best thing you can do if you been diagnosed as not having a disease.ze and say that some symptoms are suspect a problem or abnormality is “It is important not to let a problem gomore dangerous than others. The only to react, even before the body begins on for too long, but it’s also not aboutway to find out for sure is through to send you signals and the situation seeing your doctor for any given symp-diagnostic tests,” explains Dr. gets worse. “That is why routine tom or about taking a pill as soon as aHurtado. Hurtado believes that it is exams exist, which should be done at symptom appears. The body has itsimportant to let go of the habit of loo- least once a year: cholesterol, triglyce- times for recovering naturally, you haveking up symptoms on the internet. rides, blood sugar, and anemia, to let it act. If you go to the emergencyThese searches are often made on among others,” he states. According room at the slightest sign of a symptom,unverified sources, which can just exa- to Dr. Hurtado, requesting routine you can end up unnecessarily saturatingcerbate the patient’s anxiety. exams can help prevent “a pain in healthcare services,” says Dr. Hurtado. According to Hurtado, it is important to There are also those that avoid •the neck,” or in any other part of the see a doctor when pain or discomfortvisiting their doctor because they become persistent, when you experien- body for that matter ce a noticeable physical change, or if the pain is severe and prolonged. A hypochondriac, for example, is a per- son who sees their physician and specia- lists frequently. They talk to people they do and don’t know about their ailments, they are anxious, they look up informa- tion to confirm that they are sick and they constantly analyze their body.56
( )WITH YOUR BODY X-ray THE MEASLES This is a contagious disease caused by a virus that develops in humans and is transmi- tted through the air when a contagious person PRECAUTIONS talks, coughs or sneezes. TO BE TAKEN DURING100.4°F CHILDHOOD Vaccinations are the best forms of pre- vention with the MMR vaccine (meas-WHEN A FEVER les, mumps and rubella), or with a biva-REACHES THIS lent vaccine (for measles and rubella).TEMPERATURE AND Some factors can cuase the onset ofLASTS FOR 4 TO 7 DAYS,THIS IS ONE WARNING this disease in adulthood: when peopleSIGN OF THE MEASLES. are not vaccinated, when they go to a place where there is an outbreak or when they have a vitamin A deficiency as a result of their diet.TREATING SOURCE: COMMUNICABLE DISEASES HANDBOOK, 12SYMPTOMS MINISTRY OF HEALTH OF COLOMBIA MONTHS IS THE AGE INBetween the first and third day of WHICH THE FIRST DOSEsymptoms, most patients have afever, cough, nasal congestion, a OF THE MMR VACCINEred nose and their eyes burn. IS ADMINISTERED. THEInside the mouth, white patchescan be observed along the inner BOOSTER SHOTcheeks. Between the third and SHOULD BE DONEseventh day, red eruptions WHEN THE CHILDappear on the face, whichspread downwards TURNS 5.throughout the restof the body.Having pneumonia, an ear infection, ( KEEP IN MIND ) If you suspect someone has this condition,diarrhea or encephalitis along with this person must remain in isolation forthe measles can be a serious com- Students, travelers, health workers, seven days. It is important they wear face schoolteachers and military per- masks and wash their hands frequently. plication and may lead to death. sonnel are the populations with the highest risks of infection. 57
WITH YOUR BODY( )for him URINARY PROBLEMS: ADVISOR JUAN GUILLERMO VELÁSQUEZ LÓPEZWHEN TO WORRY Urologist, practitioner at Coomeva Medicina Prepagada Conditions of Urinary diseases such as infec- the urinary tract tions, incontinence, hyperplasia require medical and stones can occur in men throughout their lives. However, even if attention. there are no symptoms or warning signs Treatment for of a potential illness, the general rule is for men to visit their urologist once they them varies. turn 40. They should return at age 45 and go annually after 50 to avoid or treat the onset of chronic conditions, especially if they have a family history of prostate cancer. As urologist Juan Guillermo Velásquez López explains, urinary tract infections are rare in men and hyperplasia is one of the most common benign tumors. He also shares that stones tend to affect the working population, generating high costs for disability payments and hospitaliza- tion. To learn more, read on. URINARY TRACT INFECTION (UTI) STONES► What is it? This is an infection in the urine caused by an obs- ► What are they? They are calcifications (solid masses compo- truction such as hyperplasia (a benign growth of the prostate) sed of small crystal-like formations) in the urinary tract that can or the narrowing of the urethra, which prevents urine from obstruct or damage kidney function. In general, stones are for- taking its normal path and from exiting the body. This causes med when the urine is concentrated, allowing minerals to crys- waste to remain in the bladder, creating an environment tallize and join together. where bacteria can colonize. ► Types and symptoms: Depending on where they are located,► Types and symptoms: There are two types of UTIs: lower and they can be called kidney, ureteral or bladder stones. upper. In lower UTIs, such as with prostatitis and urethritis, symp- Symptoms include renal colic, nausea, vomiting, severe dis- toms include a burning sensation when urinating, frequent urina- comfort, recurrent urinary tract infections or bleeding. tion, blood in the urine and difficulty completely emptying the bladder. In upper UTIs, such as with pyelonephritis, the previous ► What can you do? Patients should be seen by their doctor, symptoms can occur along with a fever of over 100.9°F, chills and who will order exams. Depending on the case, the stones may pain under the ribs, where the kidneys are. be spontaneously passed by the patient, they can be fragmen- ted with a medical procedure or they may be surgically remo-► What can you do? When these symptoms are present, see your ved. As Juan Guillermo Velásquez indicates, “Patients with any doctor. Along with other tests, your doctor will order a urine cul- type of stone should drink more than three liters of water with ture to determine what type of bacteria is affecting you and to lemon a day, they should avoid consuming salt, dark bevera- start treatment with the right antibiotics and painkillers. ges, potatoes, and nuts, etc.”58
( )WITH YOUR BODY 59
WITH YYOOUURRBBOODDYY( )for him 12 %IS THE PERCENTAGE OF RISK OF HAVING KIDNEY STO- NES AMONG BETWEEN AGES 30 AND 70. PROSTATE HYPERPLASIA URINARY INCONTINENCE► What is it? It is a benign growth on the prostate, ► What is it? Urinary incontinence is when the bladder loses con- whose increase in size can range from 20 to 25 grams. trol. This causes the individual to not be able to hold their urine, It is caused by old age or, in most cases, it is inherited. producing involuntary urine loss. This is common in men after surgeries that involve the pelvic area and prostate, or among► Symptoms: Intermittent urination; a weak and thin men who with spine injuries. flow of urine; difficulty urinating; pain, discomfort or an urge to go to the bathroom; increased urinary ► Types and symptoms: Urge urinary incontinence refers to frequency (more than twice at night); feeling you the sudden and intense desire to urinate, followed by invo- not having emptied your bladder completely; luntary leaking; stress urinary incontinence is when urine dripping at the end of urination; blood in the urine escapes from the bladder during physical activity or after or urinary retention. exerting yourself; mixed urinary incontinence is a combina- tion of the two previous types; and overflow incontinence► What can you do? Once symptoms appear, see your occurs when the bladder is full, but due to a lack of sensiti- urologist. Your urologist will order a series of tests vity and control, leaks occur. and, depending on the results, will prescribe medica- tions to facilitate the urination process by relaxing the ► What can you do? Depending on the case, treatment may prostate or by performing surgery. To prevent hyper- include Botox injections, the implant of devices that help con- plasia, avoid a diet that is rich in fat, having a seden- tary lifestyle and do not drink alcohol in excess. •trol the bladder’s contractions, or an artificial urinary sphinc-60 ter to close the duct
( )WITH YOUR BODY 61
WITH YOUR BODY( )trendsSTAND UP AGAINSTPHYSICAL INACTIVITYIn a world where HOW PHYSICAL INACTIVITYadvances in technology AFFECTS THE BODY:increasingly hold usback from being active, The lungshealth risks increase. According to a study published in the British ADVISOR Medical Journal, the risk ALEXANDRA OSORIO GUÁQUETA of a thrombus in the pul- monary artery is twice as Physician, Specialist in Physical high in women who Medicine and Rehabilitation, practitioner at spend a lot of time sitting than in women who are Coomeva Medicina Prepagada physically active.Jobs that require us to stay seated all Calories day in front of a monitor, combined A lack of physical activity, together with poor with the screen time we spend during eating habits, predisposes people to becomingour leisure time on different devices (cell overweight and obese due to too little caloriesphones, tablets, televisions), all take away being burned; this increases the risk of hyper-from playing sports, doing activities out- tension, diabetes and high cholesterol.doors and being active in general. Joints The problem is the effect a sedentary Obesity causes pains in the joints, hips,lifestyle can have on us: physical inactivity knees and ankles to appear that can beis the fourth risk factor for mortality in exacerbated if the person’s weight is notthe world, and the chances of dying are managed with exercise and a healthy diet.30% higher among people who are physi-cally inactive than those who exercise. It istherefore important to know what theeffects of being inactive are on the bodyand to be committed to making physicalactivity a lifestyle.62
30 ( )WITH YOUR BODY MINUTES, AT LEAST 3 TIMES THE MORE ACTIVE, A WEEK, IS THE RECOM- THE GREATER THE MENDED AMOUNT OF BENEFIT TIME TO DO EXERCISE, STATES THE WHO. This is not about signing up to go to a gym or playing a sport. The idea is to get moving, to include physical Mood activity in your daily life in small ways, to find excuses Daily exercise stimulates the release of to get out of your chair and look for recreational acti- endorphins, a substance that improves vities that allow you to be active. As you become mood and helps with having thoughts of more active, you can increase the intensity of the well-being, decreasing the risk of stress exercise, which can help to improve your physical and depression. condition. The heart Take the first steps to get moving: Spending long days at work sitting, having ► For those who have not been active for a long an unbalanced diet, or doing some type of sports or recreational activity predisposes time, you should begin slowly and increase the people to obesity, which increases the risk intensity of the activity gradually. of coronary heart disease and heart attacks. ► Set realistic goals. Start with small changes in your daily life that can develop into habits.Muscle mass ► At work, do something to move your body eachOver the years, humans have lost hour, stand up during meetings and, if you can,muscle mass. Exercising daily and walk while talking on the phone.maintaining a healthy diet helps keep ► Leave your car further away than necessary or,the muscles healthy and keeps the if you use public transportation, get off onemetabolism functioning well. stop early. ► Take the stairs instead of the elevator, for at least a few floors. Go on short walks when you are on a break. ► While watching television, take advantage of this time to stretch or exercise while lying down. ► Go for walks around your apartment complex, neighborhood or at your closest park. Moderate exercise: ► Exercise with the support of a professional that can explain proper form. ► When starting to jog, swim, ride a bike, or do any other exercise, the recommendation is to first learn a workout routine with a trained professional in order to continue doing it on your own. ► Warm up and stretch your muscles before exercising. ► It is important to raise your heart rate while exerci- sing. If you able to talk without a problem, this means that you are not working hard enough. •► Use proper sportswear, shoes with an air cushion and, if possible, insoles for high-impact activity 63
( )WITH YOUR BODYTHE KEY IS INPREVENTION AND EARLY DETECTION ADVISOR GLORIA PENAGOS VELÁSQUEZ OBGYN and Sex Educator, practitioner at Coomeva Medicina PrepagadaProtecting women from diseases that affect their sexual organs is a priority for heal- thcare professionals in Colombia, as figu-res show that the prevalence of some of theseconditions is on the rise. Due to the increase in the number of deathsthey cause and their incidence rates, two of theseare considered a public health problem: breastcancer, responsible for the deaths of 3,200women in 2017, and cervical cancer, of which1,000 cases were reported for the same year(National Administrative Department ofStatistics, DANE). Women should go in for annual exams toget their reproductive systems checked at leastonce a year. If they have a previous medical his-tory, then these exams should be conductedmore frequently. As a general precaution, Dr. Penagos empha-sizes the importance of including healthy lifesty-le habits to minimize the risk of disease in thereproductive system: managing your weight,avoiding cigarettes and alcohol, and using pro-tection during intercourse. This is why stayingon top of your health and prevention is soimportant, as early detection can increase thelife expectancy and quality of life of the womenwho do have these diseases.64
An early diagnosis of diseases ( )WITH YOUR BODYthat affect the femalereproductive system and BREAST SELF-EXAMINATIONbreasts is crucial to ensuring a This is the first step to getting an earlybetter quality of life for the diagnosis. Women can do them bywomen that have them. examining their breasts eight days after starting their menstrual cycle. According to Penagos, the following are some of The purpose of this exam is to detect the most common exams that are used to correctly abnormalities or cysts in the breasts. diagnose this condition, both in its early and more Women can receive instructions on advanced stages. how to perform this exam with their healthcare provider.SEROLOGY TESTS (BLOOD TESTS) COLPOSCOPYA serology test uses a blood sample to When the results of pap smears are BREAST ULTRASOUNDdetermine any type of infection or abnormal and the physician suspects This is an ultrasound conducted withsexually transmitted disease such as there is a problem with the cervix, a col- a device called a transducer, whichsyphilis. It can also detect hepatitis B, poscopy may be performed. This is a helps identify between solid masseschlamydia, herpes, HIV infections, mea- more detailed, microscopic exploration and cysts. This exam is recommendedsure antibodies and can include other of the cervix that targets areas where a to women under age 40 prior totests offered by the healthcare system. biopsy should be taken. getting a mammogram. The ultra- sound uses sound waves to create aPAP SMEAR TRANSVAGINAL ULTRASOUND computerized image of the internalIf the result of this test is normal, all This is an internal exploration of the vagi- part of the breast.women should get it once a year. The na to observe the condition of the uterus,test consists of collecting small cell ovaries, fallopian tubes and the cervix. MAMMOGRAMsamples from the cervix to analyze This exam is ordered when a pap smear is This exam is conducted if a palpablewhether there are any changes that abnormal or when there is unusual ble- lesion is detected after a clinical eva-may indicate the presence of cancer eding or pain that may be indicative of an luation, if an ultrasound determinesor the human papilloma virus (HPV), abnormal enlargement of the endome- that it is necessary, or if there is athe main cause of cervical cancer. trium, myomas, cysts or ovarian tumors. family history of developing breast cancer at an early age. In all other cases, this protocol exam should be conducted periodically after age 50. BREAST BIOPSY When the images from a mammogram appear irregular, the physician decides whether a biopsy is necessary. This biopsy is taken either with a needle or by making a small incision to extract a tissue sample, which is then analyzed by a pathologist. Once it is determined •whether it is benign or malignant, any relevant treatment will ensue 65
Disfruta sin preocupaciones cada jugada del Mundial Celebra al máximo las victorias de nuestra Seleccióncon la protección de Coomeva Medicina Prepagada. Descubre como estar protegido en: cuidarteesquererte.co
( )CONTIGO )CORPORATE 1 TIME A YEAR, IS HOW OFTEN THESE EXAMS SHOULD BE CONDUCTED, EVEN IF NO SYMPTOMS ARE PRESENT.ROUTINE EXAMS ARE CRITICAL TO PREVENTING DISEASE. THEYALSO ALLOW YOUR PHYSICIAN TO MAKE A PROPER DIAGNOSIS AND MONITOR THEIR PATIENT.A CULTURE OF PREVENTION SUPPLEMENTARY INFORMATION AN IMMUNITY PROFILERegular lab tests or physicals serve to Although these tests are not diagnostic, Lab tests help determine a person’shelp identify any type of irregular organ together with a medical history and state of immunity, specifying levels offunction. physical exam, they help to provide use- red blood cells, hematocrits, leukocytes ful information about your state of health. and platelets. 67
( )CORPORATE MOBILE APPLICATION institutional The Coomeva App is an alternative way toCONNECTING request and check on medical authoriza- tions, obtain copies of your Family PlanWITH OUR account statement, access the physicianAFFILIATES and dentist directory, access Coomeva Emergency Medicine (CEM) services and read the Coomeva magazine. Diligence, efficiency andpersonalized care are three of the many benefits of our virtual healthcare platforms. At Coomeva Private Healthcare, SELF-SERVICE we constantly advance and KIOSKS update our processes to provide our affiliates and their families with We have 15 of these electronic devices located the best care; because we know that in 10 cities throughout the country. These digital developing and growing together leads to transformation. This is why we work kiosks allow affiliates to perform self-service to constantly provide our affiliates transactions, such as request medical authoriza- with online solutions that meet their tions, submit questions and communicate with needs, improving their experiences with our services. the Contact Center to receive an orientation on all the services these kiosks provide. This is the motivation behind our Digital Strategy: a platform that con- tains all the information from our different services with state-of-the-art technology. We invite you to get to know our multi-service initiative and begin to make use of these virtual solutions, which minimize waiting •times, making the lives of our affilia- tes easier68
( )CORPORATE VIRTUAL OFFICE Located on our website, this page allowsyou to perform transactions such as submit requests, access important documents, manage your health risk and learn aboutchanges and information of interest related to Coomeva Private Healthcare. THESE ARE THE SERVICES HEALTH THAT CAN MAKE YOUR QUESTIONS LIFE A BIT EASIER At our website http://medicinaprepaga- MI HISTORIA CUIDARTE da.com.co, you can chat online with a heal- ES QUERERTE thcare specialist who will answer the fre- quently asked questions affiliates have aboutThese web and mobile applications allow affiliates to take a test that symptoms, prevention and disease, orienting evaluates their eating habits, mental health and self-care practices, allowing them to assess their lifestyle in order to know what they them with the information they need. need to improve. With these guidelines, affiliates can prevent and 69 reduce the risk of disease.
( )CORPORATE servicesEMERGENCYHEALTHCARESERVICESA life or death emergency mustbe treated on time to preventcompromising the health of affiliates.ADVISORJULIÁN VILLEGASNational Director of HealthRisk Management for CoomevaMedicina Prepagada A life or death emergency is any medi- seeking emergency medical care by the faci- cal condition that places a person at lity’s doctors. This helps prioritize medical an imminent risk of death or of expe- care based off of an assessment of the vital riencing a serious health problem. The medi- signs and symptoms indicated by the patient. cal attention provided through the urgent care services of any healthcare institution, “For us, all of the conditions our affiliates regardless of the network of providers esta- are experience are important, but sometimes blished for the insurance plan’s enrollees, there are cases that are more urgent and must must therefore be immediate and urgent. For be given priority,” states Julián Villegas, Coomeva Private Healthcare, it is important National Director of Health Risk that its affiliates remember that what is con- Management at Coomeva Private Healthcare. sidered to be a life or death emergency for them, may not be classified as such in the A triage system helps to ensure that healthcare system. those who are seeking emergency care are assessed in a fast and orderly way. It helps In order to best use their resources and identify those who require immediate medi- give priority to the right people, healthcare cal attention – reducing the risk of death, institutions use the triage system which con- complications or disability – and provides sists in an initial assessment of the patients an initial picture of the situation with com- plete information.70
( )CORPORATE 71
( )CCOORRPPOORRAATTEE services SEEKING OUT OTHER SERVICES Before seeking out emergency care, keep in mind that insurance companies such as Coomeva Private Healthcare also have health lines, where users can consult with general physicians or specialty physicians 24 hours a day. This can help affiliates avoid long waits in emergency rooms. HELPFUL INFORMATION ► Types of emergencies: The following are examples of medical conditions that are generally classified as triage 1 or 2: loss of consciousness, severe bleeding, possible heart attack (pain in the chest associated with the left arm and problems with vital signs), respiratory distress, coughing or vomiting blood, changes in vision, hyper- tension that cannot be controlled, trau- ma, extensive burns and severe diarrhea. ► Services that can be provided during an emergency: specialized medical care, diagnostic tests, care for pregnant women, medical interventions, medical procedures, surgery, ambulatory servi- ces, hospitalization, prescriptions, provi- sion of medications, and health promo- tion and prevention.LEVELS OF TRIAGE:► Level 1. Immediate medical attention is required as the their condition is stable, it can deteriorate. Medical care patient’s condition is a matter of life or death and resuscita- should be administered no longer than 30 to 45 minutes after tion is needed. their arrival. ► Level 4. The person has a condition that does not compromi-► Level 2. The patient’s condition may rapidly deteriorate, they se their overall state of health and does not represent an may face imminent death, or there is a high risk that they may obvious risk. However, medical attention must be administered lose a limb or organ. These first two situations require medical in order to avoid complications. attention no longer than 20 minutes after the patient has rea- ched the medical facility. •► Level 5. The patient has acute or chronic problems that do not deteriorate or compromise their state of health► Level 3. The patient needs emergency treatment or diagnostic Source: The Ministry of Health of Colombia. testing. An additional test or immediate test is needed. While72
( )CORPORATE 73
( )CORPORATE directory UPDATED CONTACT INFORMATIONAPARTADÓ Nutrition and Dietetics DermatologyClinics, Medical Centers, Marcela Echavarría Velásquez Julieth Herrera ChicaHospitals and Pediatricians Dirección: calle 33A # 71A - 127 Dirección: cra. 48 # 19A - 40, cons. 1514Instituto Colombiano de Medicina 2507575 4182249Tropical Antonio RoldánBetancur Ophthalmology Sports MedicineDirección: cra. 51A # 62 - 42 Álvaro Echeverri Bustamante César Andrés Torres Llano8281707 Dirección: cra. 43 # 29 - 35, cons. Dirección: calle 7 # 39 - 197, cons. 1419, 525, Clínica Oftalmológica San Diego Torre IntermédicaMEDELLÍN 2627196 5608870Oral RadexRadiology Centers Ear, Nose and Throat Doctor Pediatric NeurologyDirección: cra. 25A # 1A Sur - 45, Luis Fernando Ochoa Sánchez Johnny Andrés López Garcíacons. 1732 Dirección: diag 75B # 2A - 80, cons. Dirección: diag 75B # 2A - 80, cons.3211838 620, Torre Médica Las Américas 315, Torre Médica Las Américas 3459199 3459219Oral Radiology CentersCero 70 S.A.S. Orthopedic Surgery and PsychiatryDirección: cra. 51 # 51 - 40, piso 2 Traumatology Jhon Jairo Marín Cortés4486070 Diego Arturo Velásquez Ramírez Dirección: calle 19A # 44 - 25, cons. Dirección: calle 7 # 39 - 290, cons. 2220, Torre Salud y ServiciosHead and Neck Surgery 503, Clínica Medellín El Poblado Tel: 4235162Álvaro Enrique Sanabria Quiroga 3126242Dirección: calle 7 # 39 - 107, cons.1308, Torre Medical NEW PROVIDERS3104474985 - 2669633 MEDELLÍNSpeech Therapy Pediatric CardiologyValentina Sierra Alzate Andrés Bohórquez GarnicaDirección: calle 7 # 39 - 290, cons. Dirección: calle 19A # 44 - 25, cons.711, Clínica Medellín El Poblado 2401, Torre Médica Salud y Servicios3117940711 - 5870967 3221142 - 4480651Internal Medicine, Pneumology, Dental ClinicsNutrition and Dietetics Odonto Estética AvanzadaCemde Direcciones:Dirección: calle 33A # 70A - 175 . Cra. 43A # 18 Sur - 135,Tel: 4112421 cons. 831 . Calle 19A # 44 - 25, cons.Neuropsychology 1317, Torre Médica SaludAstrid Elena Restrepo Bolaños y ServiciosDirección: cra. 80A # 36 - 12 3139438 - 31394343146875963 - 412499474
3URWHFWRU ( )CORPORATESolar Oral LA CÁPSULADE LA JUVENTUD Anti (Rdeedupcceicónas yPigmento manchas) Disminución de melanina Anti Inhibe en unAcné Anti 5 alfa- reductasaAlopeciaProtección Protege celular frente al daño el colágeno y la Aceite de Salmón. oxidativo elastina Anti oxidante Anti envejecimiento 0HMRUD OD UHVLVWHQFLD 0HMRUD OD VDOXG YLVXDO 3URPXHYH OD VDOXGItVLFD \ OD UHFXSHUDFLyQ \ FHUHEUDO FDUGLRYDVFXODU P~VFXODU 75
Search
